Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.85 / $42.85 / $42.85	Facility	26	$42.85	$42.85	$42.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $99.28 / $141.41	Professional		$76.84	$99.28	$141.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.88 / $43.88 / $43.88	Facility	26	$43.88	$43.88	$43.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $121.38 / $250.92	Professional		$70.23	$121.38	$250.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.29 / $157.43 / $204.87	Professional		$121.29	$157.43	$204.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.15 / $100.68 / $158.27	Professional		$61.15	$100.68	$158.27
United Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $110.85 / $210.32	Professional		$61.26	$110.85	$210.32